NPIMap

Organization Active NPI

Crozer-Chester Medical Center

  • Clinic/Center
  • Springfield, PA
National Provider Identifier
1497891295
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
037201 Issued in PA
Legal business name
CROZER-CHESTER MEDICAL CENTER
Practice address
1797 S Sproul Rd
Springfield, PA 19064-1137
Phone
(610) 447-2000
Fax
(610) 447-6620
NPI assigned
Jan 29, 2007
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick Gavin
Title
Coo
Phone
(610) 338-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 037201 PA Primary

Addresses

Primary practice location

1797 S Sproul Rd
Springfield, PA 19064-1137

Mailing address

1 Medical Center Boulevard
Upland, PA 19013-3902
Phone (610) 447-2000

Other identifiers 1

IdentifierTypeStateIssuer
10076058327MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Crozier Chester Med Ctr28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1497891295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BOULEVARD",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2000",
            "fax_number": "610-447-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 S SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641137",
            "telephone_number": "610-447-2000",
            "fax_number": "610-447-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER-CHESTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-338-8228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "037201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10076058327",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.